Healthcare Provider Details

I. General information

NPI: 1245947944
Provider Name (Legal Business Name): PATRICK SCOTT MCCOY LCMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 EAST LN
BURLINGAME CA
94010-2802
US

IV. Provider business mailing address

11490 S LAKECREST DR
OLATHE KS
66061-7525
US

V. Phone/Fax

Practice location:
  • Phone: 877-505-7147
  • Fax:
Mailing address:
  • Phone: 949-945-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number03299
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: